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Dr. Tro | TeleHealth | Community Profile picture
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Jan 22 • 4 tweets • 1 min read
It’s hard to empathize

Imagine your tire is flat, & every mechanic & tow tells you to fill more air in your tire than you let out… then imagine your family, friends, society & mechanics have blamed you for your flat tire your whole life & you are so desperate you believe them
Imagine you have tried to fix it on your own, but the market is saturated with bogus “fix-a-flat” products barely work & are designed to fail… they that make lofty promises & provide allure with momentary success but no clear longterm solution…
Imagine the deepest despair, the most predatory industry and lack of insight and clarity into your tire problem…

Now you might understand why people don’t want to know and don’t want to get weighed
Would you let a douchefuck of a mechanic check your tires?

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More from @DoctorTro

Dr. Tro | TeleHealth | Community Profile picture
Jan 2
Yesterday, I had to come face to face with several COVID patients (yes I had an n95 & limited my contact as much as possible)
I admitted one patient with COVID… an older gentleman who had natural immunity from recovered COVID from a year prior, he had come in with mild viral symptoms… he was much less symptomatic compared to his 1st infection…
but now he was more short of breath. His D-dimer was high and he was COVID+, his CTA of the lungs showed bilateral pulmonary embolism…

This is the, it’s nothing new pandemic
Read 18 tweets
Dr. Tro | TeleHealth | Community Profile picture
Dec 20, 2021
🚨 Thread on LDL & low carb🚨

How I approached high LDL in my patients, and how we observed a decrease in LDL of 480mg/dl

About the case-series of 5 patients…

(1/20)
As data supporting low carb diets has proliferated for weight loss, diabetes, seizures and other conditions, patients are now presenting with various issues related to the diet

2/20
For example, while it’s true that consistently a1c, triglycerides, HDL and lpa seem to improve, some patients report some adverse events.

3/20
Read 23 tweets
Dr. Tro | TeleHealth | Community Profile picture
Nov 25, 2021
I want to THANK some of my mentors, colleagues and friends/family this thanksgiving

@drericwestman - for being a shining example of a clinical scientist
@davidludwigmd - for being a proponent of science in the face of harsh criticism

/thread 🚨
@bigfatsurprise - for opening my eyes to understanding how poor nutrition policy has effected us all

Dr. Mark Cuccuzella - for showing me that systemic change is possible
@BrianLenzkes - that values and family are more important than material things

@IMWHorvitz - for agreeing to pick up the phone & talk to me about the value of independence in medical practice 5 years ago
Read 5 tweets
Dr. Tro | TeleHealth | Community Profile picture
Nov 23, 2021
What I wish I knew as a 350lb doctor?

❌eat all food in moderation
✅Fuck that, eat satiating real food with no limit and then if hungry eat more 🥩🍖🍗🥚🍳🥦🫑🥑🍓🍤

❌eat 5-7 small meals
✅Fuck that, if you aren’t hungry don’t eat & when you are hungry eat real food

/thread
❌breakfast is the most important meal
✅I haven’t eating breakfast in 7 years & I’ve kept 150lbs off

❌eat whole grains
✅this is just a way to get you to eat Kellogg’s & General Mills processed shit food… if they are advertising “fiber” or “whole grains” you are being conned
❌if you want chocolate or ice cream just have a little
✅either don’t have it OR if you need it find a version without sugar, plenty of low carb alternatives out there, takes some of the addictive qualities of the food out (yes and calories)
Read 5 tweets
Dr. Tro | TeleHealth | Community Profile picture
Nov 11, 2021
First of all, love @mackinprof work on protein

The love stops there m… THREAD
To equalize diets to some concept of “whatever works” is a lazy approach to obesity. FULL STOP.

Diets work for very specific reasons in certain individuals, not understanding those reasons needs to be states and it wasn’t

What happened instead?
Some koombaya nonsense that the efficacy of diets is based on adherence. Besides that being circular reasoning it again shifts the blame to the disenfranchised people with obesity & not the dumbfucks who portend to be experts
Read 4 tweets
Dr. Tro | TeleHealth | Community Profile picture
Oct 28, 2021
I met a person in the gym who went to a bariatric surgeon, was evaluated by a psychotherapist, psychiatrist and then had bariatric surgery.

She lost some weight but gained it all back several years later. No one reached out to her, nobody followed up.

/thread
When I asked her why she thinks it happened, why she gained weight, she said “it’s my fault”

She said “she ate too much, maybe she was emotionally eating”

And this is basically where I lost my shit (keep reading)
They cut out her stomach, forced her to “eat the size of her palm”… they cleared her for surgery and provided no support, no clear vision of what she is up against… but they did collect fact check$

THEY did this to her, SHE WANTED HELP… and yet she says “it’s my fault”
Read 5 tweets

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